Individual
MR. GLEN PRIVES CORLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TAMC, HI 96859-5001
(808) 433-6606
Mailing address
1130 ILIKALA PL, KAILUA, HI 96734-1854
(808) 254-4707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34001802A
IN
1041C0700X
Clinical Social Worker
665
HI
106H00000X
Marriage & Family Therapist
Primary
35000973A
IN
Other
Enumeration date
05/05/2006
Last updated
09/11/2025
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